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Management of lateral cervical metastases in papillary thyroid cancer: Patterns of lymph node distribution

August 16, 2011  |  J. Michael King, MD, Christian Corbitt, MD, and Frank R. Miller, MD, FACS


In this article we discuss the management of lateral cervical lymph node metastases in papillary thyroid cancer (PTC). We conducted a retrospective analysis of cases of PTC at our tertiary academic medical center involving 32 patients who underwent 39 neck dissections for the...

Thyroidectomy for goiter relieves obstructive sleep apnea: Results of 8 cases

July 14, 2011  |  Mark T. Agrama, MD


The author conducted a retrospective study of 8 adults with euthyroid goiter that had resulted in tracheal compression and led to moderate to severe obstructive sleep apnea (OSA). The purpose of the study was to evaluate the effects of thyroidectomy on the apnea-hypopnea index...

Predicting hypocalcemia after total thyroidectomy: Parathyroid hormone level vs. serial calcium levels

September 1, 2010  |  Adam T. Graff, MD, Frank R. Miller, MD, FACS, Corrie E. Roehm, MD, and Thomas J. Prihoda, PhD


A 24- to 48-hour in-hospital observation period to monitor for hypocalcemia is common after total thyroidectomy. Because most thyroidectomy patients do not experience this potentially serious complication, investigators have searched for methods and clinical indicators that may...

Kikuchi disease and thyroid follicular adenoma

September 1, 2010  |  Mohamed Abdel Khalek, MD, Xin Zhong, BS, Krzysztof Moroz, MD, and Emad Kandil, MD

Medullary thyroid carcinoma

July 1, 2010  |  Lester D.R. Thompson, MD

Papillary carcinoma arising in median ectopic thyroid tissue: Management of the thyroid gland

May 1, 2010  |  Susan Cordes, MD and Jeffrey J. Nelson, MD


Thyroid tissue in an ectopic location is rare, 1 in 100,000 to 300,000 persons, and usually in the lateral neck. Median ectopic thyroid tissue is even more unusual, with the vast majority of cases being lingual thyroid tissue. We present a case of carcinoma arising in median,...

Type I thyroplasty revision 1 year after a window was mistakenly created on the cricoid cartilage

May 1, 2010  |  Hilmi Alper Şenkal, MD and Taner Yilmaz, MD


Unilateral vocal fold paralysis causes glottic incompetence and can result in significant morbidity. To prevent such morbidity, surgeons treat affected patients with vocal fold medialization techniques; type I thyroplasty medialization surgery is widely used for this purpose....

Disseminated plasmacytoma of the thyroid

March 1, 2010  |  Brian J. Park, MD, MPH, Randy J. Kalish, MD, and Arthur P. Vercillo, MD


Extramedullary plasmacytomas most commonly occur in the nasal cavity, nasopharynx, paranasal sinuses, and larynx. Thyroid involvement is rare, as fewer than 75 cases have been previously reported in the literature. We report a new case of disseminated plasmacytoma of the...

Parathyroid carcinoma: A rare cause of primary hyperparathyroidism

September 1, 2009  |  Brian Kung, MD, Ronald Winokur, MD, David Cognetti, MD, Brian O'Hara, MD, and David Rosen, MD


Most cases of primary hyperparathyroidism (80 to 90%) are caused by a parathyroid adenoma; most of the rest are caused by either parathyroid gland hyperplasia or multiple adenomas. Parathyroid carcinoma can be the cause of primary hyperparathyroidism in 1 to 5% of patients....

Adjuvant external-beam radiotherapy in patients with high-risk well-differentiated thyroid cancer

July 1, 2009  |  Peter V. Chen, MD, MS, Ryan Osborne, MD, Eugene Ahn, MD, Sofia Avitia, MD, Elliot Abemayor, MD, PhD, and Guy Juillard, MD


The role of adjuvant external-beam radiation therapy (EBRT) in well-differentiated thyroid cancer is not well delineated. Many clinicians rely solely on iodine 131 (131I) to destroy thyroid remnants following thyroidectomy. However, the lesser uptake of isotope in...

Lingual thyroid

June 1, 2009  |  Manish Gupta, MS and Gul Motwani, MS


Lingual thyroid gland is a rare clinical entity caused by failure of the gland's anlage to descend early in the course of embryogenesis. It may present with symptoms of dysphagia, upper airway obstruction, or even hemorrhage anytime from infancy through adulthood. Treatment of...

Follicular variant of papillary carcinoma arising from lingual thyroid

June 1, 2009  |  Churunal K. Hari, FRCS, Manoj Kumar, FRCS, Mohamed M. Abo-Khatwa, FRCS, Julia Adams-Williams, MRCS, and Hisham Zeitoun, MPhil, FRCS


Malignant transformation of ectopic lingual thyroid tissue is an uncommon event; only 43 cases have been reported in the literature. Only 10 of these cases were papillary carcinomas, in contrast to normal thyroid gland neoplasms, of which papillary tumors form the predominant...


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